Jurnal Keperawatan Komprehensif (JKK)
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The Influence of Knowledge, Attitudes, and Self-Efficacy on the Preparedness of School-Age Children in Facing Earthquake Disasters
No full textAims: The study aimed to determine the effect of knowledge, attitude, and self-efficacy on preparedness and the simultaneous effect of knowledge, attitude, and self-efficacy on preparedness.
Methods: This study uses a correlational research design with a cross-sectional approach. Population and research samples were taken by a total sampling of as many as 143 students in high school at Sukabumi-West Java and as many as 161 respondents. Data collection used a nonstandard questionnaire developed by researchers with answer choices using the Guttman scale.
Results: Most of the mean and standard deviation values of knowledge 14.18 (2,906), attitude 42.69 (6,514), self-efficacy 35.77 (10,575), and preparedness 16.28 (4,076). There is a simultaneous effect of knowledge, attitude, and self-efficacy on preparedness (p-value <0.05). There is a simultaneous influence of knowledge, attitude, and self-efficacy on preparedness (value <0.05).
Conclusion: There is an effect of knowledge, attitude, and self-efficacy on preparedness and a simultaneous effect of knowledge, attitude, and self-efficacy on preparedness. MTs Al-Mu\u27awwanah Kota Sukabumi needs to improve students\u27 understanding of disaster preparedness through training and extracurricular activities focusing on knowledge, attitudes, and self-efficacy
Family Caregiver Support Program to Increase Quality Care Among the Geriatric Population
No full textAims: This study aimed to determine the effect of providing support programs to family caregivers on the quality of care for the elderly with chronic diseases in Pandansari Village, Poncokusumo District, Malang Regency.
Methods: The study used a pre-experimental with one group pretest-posttest research design approach in 7 weeks from July-September 2022. The total sample size was 50 respondents using purposive sampling technique. The selected sample must fulfill criteria’s, includes: 1) an informal caregiver who lives with the elderly, 2) takes care of the elderly with chronic diseases, and 3) not suffering from chronic diseases itself. The WHO-QOL BREF questionnaire was used to collect data on the quality of life before and after the provision of support programs. Analysis includes univariate and bivariate. Bivariate using the Wilcoxon test.
Results: In this study, the caregivers are all women (100%) and most of the elderly are women (60.0%), the chronic diseases are Hypertension 66% and Gout Arthritis 34%. The results of this study indicate a significant effect of providing family caregiver support programs on the quality of care for the elderly with chronic diseases based on the quality of life indicators (p: 0.0001).
Conclusion: Family support programs influence the quality of care in terms of improving the quality of life of the elderly.
Discussion: In caring for the elderly with chronic diseases, family caregivers can take advantage of family support programs. Furthermore, this research is expected to provide insights and ideas for further research especially the development of support programs for caregivers of families with other chronic diseases
Use of Mobile Health on Adherence among HIV Positives Person: A Literature Review
No full textAim: Antiretroviral is the main key to improving the quality of life and among ways to prevent the transmission of diseases due to HIV. In the use of drugs in the long term, psychosocial problems that arise often become barriers to patient adherence. This paper aims to show various forms of application and see the benefits derived from the use of mobile health (m-Health) in increasing the adherence of HIV positive patients.
Method: The method used is a review of journals from Pubmed published no more than the last five years about the use of mobile health in those infected with HIV.
Result: The result is that all existing articles provide explanations about the application of mobile health and positive result in supporting adherence, but there is a note regarding the consideration of its implementation goals and the services provided as well as the retention rate after using after several time.
Conclusion: The conclusion is that mobile health provides benefits to increase adherence and help overcome the patient’s psychosocial problems
The Effect of Giving Cucumber (Cucumis sativus) Juice on Blood Pressure in Stage 1 Hypertension Patients in Cimahi Public Health Center
No full textBackground: One of the management of hypertension is with herbal medicine, such as cucumber juice, because cucumber contains a lot of potassium and water, a diuretic that can lower blood pressure.
Aim: This study aimed to determine the effect of cucumber juice on blood pressure in patients with stage 1 hypertension.
Method: The research design used was (a quasi-experimental design) with the design using the Non-Equivalent Control Group. A total of 28 people whose blood pressure was measured consisted of 14 people in the intervention group giving cucumber juice and 14 in the control group without giving cucumber juice.
Results: The study’s mean systolic blood pressure in the control and intervention groups ranged above 130 mmHg and 80 mmHg for diastolic. After the intervention procedure, the mean systolic and diastolic blood pressure in the intervention group decreased to 120.71 mmHg (systolic) and 76.43 mmHg (diastolic). In contrast, the control group’s systolic and diastolic blood pressure was relatively stable. The Independent t-test result showed a significant p-value (< 0.05). Meanwhile, in the control group, a p-value of (> 0.05) was obtained, meaning there was no change in blood pressure in the control group.
Conclusion: This study showed that cucumber juice affects blood pressure. Based on the study’s result, nurses need to maximize hypertension control by giving education to constantly consume anti-hypertensive drugs along with herbal medicine such as cucumber juice
The Relationship of Spirituality with Coping Mechanism in Patients with Type 2 Diabetes Mellitus in Sukabumi Regency, Indonesia
No full textAim: Apart from the obvious health consequences, diabetes mellitus leads in unfavorable psychological responses that can lead to emotional problems. Individual coping techniques for lowering stress and making treatment decisions in which spirituality plays a significant role. The study aimed was to determine the relationship between spirituality and the coping mechanisms of type 2 diabetes mellitus patients.
Methods: This is correlational study with cross-sectional approach. Total sampling was used to collect data from 54 people diagnosed with type 2 diabetes. The spirituality instrument uses the Daily Spiritual Experience Scale (DSES) and the coping mechanism uses The Brief Cope. Statistical analysis using chi-square.
Results: The results showed that most respondents had moderate spirituality (59,3%) and adaptive coping mechanisms (55.6%). The chi-square test results obtained a P-value of 0.008, so there is a relationship between spirituality and coping mechanisms in type 2 DM patients.
Conclusion: The results showed that most of the respondents had moderate spirituality and adaptive coping mechanisms. Spirituality and adaptive coping skills are predicted to be enhanced by nurses, particularly in populations at risk for chronic disease
Correlation Between the Radiation Fractionation Number and the Major Nursing Problems in Cervical Cancer Patients Undergoing External Radiation
No full textAim: The purpose of this study is to identify the correlation between the radiation fractionation number and the major nursing problems in cervical cancer patients with external radiation.
Method: This research design was quantitative descriptive using the cross-sectional approach. Consecutive sampling was applied to collect data from 45 cervical cancer patients who were undergoing external radiation at Radiotherapy Department of Dharmais Cancer Hospital, taken from January to April 2019. The inclusive respondents fulfilled the instruments including questionnaire to determine the number of radiation fractionation and the problems that the patients were experiencing. Univariate data analysis used frequency distribution technique and bivariate used Spearman’s rank correlation.
Result: The study results indicate that the majority of irradiated cervical cancer patients were aged 41-60 years, in advanced stage of III B, and they did not receive surgery therapy before radiotherapy. There is a correlation between the radiation fractionation number and the major nursing problems in irradiated cervical cancer patients where the P value is 0.000 (r=0.713). They experienced major nursing problems of distress/coping in the 5th fractionation, nutrition alteration in the 10th fractionation, impaired skin integrity and nutrition alteration in the 15th fractionation, while in the 20th and 25th fractionations, the major problem was impaired skin integrity.
Conclusion: The study depicted a significant and strong positive correlation between the radiation fractionation number and the major nursing problems in irradiated cervical cancer patients, the higher radiation fractionation level, the higher (severe) the nursing problem. The study suggests nurses to conduct further study on the side effects of radiation to improve nursing care for irradiated cancer patients
Parent\u27s Stigma Towards Childhood Tuberculosis: A Multicenter Survey from Eastern Bandung Regency
No full textAims: Tuberculosis-related stigma negatively influences tuberculosis prevention programs such as delayed diagnoses, poor treatment adherence, and decreased quality of life of patients. This descriptive quantitative study aimed to describe the stigma towards tuberculosis among parents.
Method: A total of 30 samples taken through accidental sampling were parents who had children (0-14 years) with tuberculosis who had been treated at the public health centers. A questionnaire adapted from Van Rie TB Stigma Scale (VTSS) was used and analyzed using descriptive analysis.
Result: Most parents (76.6%) had lower levels of stigma, while the others scored higher levels. Lower stigma levels can be caused by a mature mindset, good knowledge of TB information, and indicates higher hopes from parents to increase their care level for children’s development, health-seeking behavior, and support for children’s TB treatment until it is completed. Accordingly, higher stigma levels from parents might be a result of several external factors that can increase the lack of motivation for health-seeking behavior in their children’s TB treatment.
Conclusion: The role of health workers is very important in reducing stigma. Health education about prevention and treatment of childhood tuberculosis is still needed because it is a source of fear and high stigma against childhood tuberculosis in society
Factors Related to the Implementation of Family Center Care in Critical Nursing Rooms at Karawang Hospital
No full textAims: Nursing Services strive to provide a source of support for the patient’s family by implementing the Family Centered Care model in critical care rooms, focusing on providing family-centered nursing care services has not been fully applied in hospitals optimally.
Objective: To Analyze the factors related to the implementation of family center care in critical nursing rooms at the Karawang district hospital.
Methods: The research is a quantitative research with a correlational analytic descriptive research design with a cross-sectional design and the sample used is total sampling. The independent variables include Knowledge, Attitudes Bahavior and Facilities, while the dependent variable is Implementation of Family Center Care. Data analysis used univariate median tests, standard deviation or frequency, while bivariate tests used chi square and multivariate tests used logistic regression tests.
Results: The results showed that the average implementation of Family Center Care was 64.00%, with the lowest implementation being 23% and the highest being 65%. From the bivariate results it was found that half of the respondents had good knowledge (57.4%), and more than half of the respondents had a supportive attitude (57.4%), complete facilities (68.5%), and good behavior (53.7%). The results of the logistic regression analysis showed that the implementation of Family Center Care by nurses in the critical care room was influenced by the most dominant factor, namely attitude, with a p-value (0.000) less than (0.05).
Conclusion: In the study is that the implementation of Family Center Care by nurses in the Critical Care Room at Karawang Hospital is influenced by the attitude of the nurse, where from the supportive attitude of the nurse it can encourage the behavior of nurses towards the implementation of Family Center Care in the Critical Care Room at Karawang Hospital. With the implementation of Family Center Care properly, it will improve the quality nursing services
The Effect of Belly Binding and Abdomen Exercise on Reducing Diastasis Recti Abdominis in Postpartum Mothers
No full textAims : The purpose of this study was to see if belly binding and abdominal exercises may help reduce diastasis recti abdominis in postpartum women.
Methods : A quasi experiment with a One group Pretest Posttest Design was employed as the research approach. Respondents were 60 primiparous postpartum moms who were randomly assigned to one of two groups: 30 for belly binding treatment and 30 for abdominal exercises treatment, using the purposive sample technique.
Results : The findings revealed that belly binding had an influence on the decrease in DRA in postpartum women (p value = 0.000). Abdominal exercises had a positive effect on DRA in postpartum women (p value = 0.043). It is recommended that postpartum women employ belly binding and abdominal workouts to combat DRA.
Conclusion : Belly binding and abdominal exercises can help postpartum women overcome recti abdominis. Midwives are supposed to be able to give passive and active non-pharmacological midwifery treatment, such as belly bindings and abdominal exercises for postpartum women suffering from DRA
The Effectiveness of the 300 and 450 Semifowler Positions on Changes in Oxygen Saturation in Pneumonia Patients Installed Ventilator in ICU Room RSPI Sulianti Saroso
No full textAims : Pneumonia is an acute infectious disease that affects the tissues (lungs) precisely in the alveoli caused by several microorganisms such as viruses, bacteria, fungi, and other microorganisms. The semifowler position is able to maximize lung expansion and decrease the effort to use the muscles of breathing aids, so that maximum ventilation opens, maintains comfort, increases the value of oxygen saturation and secret movements.
Methods : The research method used was quasiexperimental with pre-post-test in one group (One-group pre-post test design) with a sample of 20 patients.
Results : Based on the results of bivariate analysis showed that there was a significant influence between the influence of the position of semifowler 300 and 450 on changes in oxygen saturation in patients with pneumonia with p-value <α (0.007 <0.05). The semifowler 450 position is more effective in increasing oxygen saturation in patients with pneumonia attached to a ventilator having an average increase in oxygen saturation of 2.2%.
Conclusion : It is anticipated that the results of this study can be used by ICU nurses to apply the semifowler 450 position in care, thereby contributing to the renewal and expansion of nursing knowledge